Individual provider Active NPI

Irem P. Franco, LCSW

  • Clinical Social Worker
  • Deer Park, NY
National Provider Identifier
1922433754
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087861 Issued in NY
Practice address
PO Box 497
Deer Park, NY 11729-0497
Phone
(516) 698-5511
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 095484 NY
Clinical Social Worker 1041C0700X 087861 NY Primary

Addresses

Primary practice location

PO Box 497
Deer Park, NY 11729-0497

Mailing address

PO Box 497
Deer Park, NY 11729-0497
Phone (631) 954-2287

Other practice location 1

55 Horizon Dr
Huntington, NY 11743-4436
Phone (631) 396-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190322001902 NY Practitioner - Clinical Social Worker 5395085658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095484NYMDSocial Worker

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Nov 8, 2023 Accepting new patients
Conscious Mind Psychotherapy Clinical CurrentSince Aug 11, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

2363 James St
#523
Syracuse, NY 13206

Networks

  • Healthfirst Medicare Network H9678

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1922433754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117290497",
            "telephone_number": "631-954-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117290497",
            "telephone_number": "516-698-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Horizon Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117434436",
            "country_code": "US",
            "telephone_number": "631-396-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANCO",
        "first_name": "IREM",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095484",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.